How is IBS Diagnosed and Treated in Malaysia

Irritable Bowel Syndrome (IBS) is a common digestive disorder that affects the large intestine, causing symptoms like abdominal pain, bloating, and changes in bowel habits. In Malaysia, diagnosing and treating IBS is a multi-step process involving careful assessment by medical professionals from Pantai Hospitals.

Diagnosis of IBS typically involves a thorough consultation, where doctors evaluate your medical history and symptoms. The diagnostic process in Malaysia often includes:

Medical History Review

A doctor will discuss your symptoms and medical background. They may ask about your diet, stress levels, and lifestyle.

Physical Examination

A general physical exam will help rule out other conditions that could cause similar symptoms.

Diagnostic Tests

In some cases, tests may be conducted to exclude other potential issues. Common tests include:

  • Blood tests to check for infections or inflammation.
  • Stool tests to rule out infections or parasites.
  • Colonoscopy or sigmoidoscopy may be recommended if your doctor suspects another condition, like inflammatory bowel disease (IBD).

The diagnosis is typically confirmed when symptoms are consistent with IBS, and other conditions are ruled out.

Treatment of IBS in Malaysia

The treatment for IBS focuses on managing symptoms and improving the quality of life. In Malaysia, IBS treatment often involves:

Dietary Adjustments

The low FODMAP diet (a diet low in certain fermentable carbs) is commonly recommended to help alleviate symptoms. A registered dietitian may guide you on suitable foods to eat and avoid.

Medications

  • Antispasmodic drugs to reduce cramping.
  • Laxatives if constipation is present.
  • Antidiarrhoeal medications for diarrhoea-predominant IBS.
  • Probiotics to support gut health.
  • Antidepressants in some cases to help with pain management and stress reduction.

Stress Management

Techniques like cognitive behavioural therapy (CBT), yoga, and mindfulness are proven to help manage IBS symptoms by reducing stress.

In Malaysia, several clinics and gastroenterologists specialise in IBS management. It is crucial to follow a tailored treatment plan based on individual needs.

What Are the Causes of IBS?

IBS has no single known cause. However, several factors can contribute to the development of IBS. These include:

Abnormal Gut Motility

Some individuals with IBS experience abnormal contractions of the intestinal muscles, which can result in diarrhoea or constipation.

Gut Sensitivity

Increased sensitivity of the gut to stimuli (such as food) can lead to pain and discomfort.

Infection or Gut Inflammation

In some cases, IBS may develop after an infection or gastrointestinal illness. Post-infectious IBS is a recognised subtype.

Gut Microbiota Imbalance

An imbalance in the gut microbiome may contribute to IBS symptoms. Studies show that certain bacteria in the gut may influence digestion and immune responses.

Psychological Factors

Stress, anxiety, and depression are strongly linked to IBS symptoms, as they can disrupt normal digestion. Psychological stress can exacerbate gut sensitivity, leading to IBS flare-ups.

Genetics

Family history can also play a role in the development of IBS, with some research suggesting genetic predisposition may be a factor.

Although IBS is not fully understood, research continues to explore the underlying causes and treatment methods.

When Should I Get a Checkup for IBS?

When to See a Doctor for IBS

If you have had IBS symptoms like abdominal pain, bloating, or changes in bowel habits for over three months, consult a doctor. Seek immediate medical help if you notice severe symptoms like blood in your stool, unexplained weight loss, or extreme fatigue, as these could signal a serious condition.

Diagnosing and Treating IBS

Diagnosis involves a detailed review of symptoms, lifestyle, and medical history, with tests to rule out other issues. Treatment is personalised and may include dietary adjustments, medications, or other therapies tailored to your needs. Do not hesitate to seek professional help for proper care and relief.

Dietary Management

A registered dietitian may recommend a low FODMAP diet to help reduce symptoms by eliminating certain fermentable carbohydrates known to trigger IBS.

Medications

The type of medication prescribed depends on your specific symptoms. These may include:

  • Antispasmodics to relieve abdominal cramping.
  • Laxatives for constipation-predominant IBS.
  • Antidiarrhoeal medications to control diarrhoea.
  • Probiotics to support gut health and balance the microbiome.

Psychological Interventions

If stress or anxiety is contributing to your IBS, cognitive behavioural therapy (CBT) or mindfulness techniques may be recommended to help manage stress.

Ongoing Monitoring

Regular follow-ups with your healthcare provider are essential to track progress, adjust medications, and refine the treatment plan as needed.

With the right combination of dietary changes, medications, and stress management techniques, most individuals can successfully manage their IBS symptoms and maintain a good quality of life.

Book an Appointment at Pantai Hospitals 

IBS can significantly affect daily life, but with the right management, symptom relief and improved quality of life are achievable. A tailored treatment plan, including dietary changes, medications, or psychological support, is essential. Early diagnosis and treatment are key to preventing symptoms from worsening. At Pantai Hospitals, experienced gastroenterologists provide personalised care with comprehensive diagnostic and treatment options to effectively manage IBS.

Book your appointment now at Pantai Hospitals and start your journey towards relief and a healthier, more comfortable life. You may also book an appointment by downloading the MyHealth360 application from Google Play Store or Apple App Store. 

Pantai Hospitals have been accredited by the Malaysian Society for Quality in Health (MSQH) for its commitment to patient safety and service quality.

References

1.Burger, A. (n.d.). Psychosocial factors in the irritable bowel syndrome. A multivariate study of patients and nonpatients with irritable bowel syndrome. PubMed. Retrieved January 27, 2025, from https://pubmed.ncbi.nlm.nih.gov/3396817/

2.Irritable bowel syndrome - Diagnosis and treatment. (2024, October 11). Mayo Clinic. Retrieved January 27, 2025, from https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/diagnosis-treatment/drc-20360064

3.Irritable bowel syndrome in Asia: Pathogenesis, natural history, epidemiology, and management. (n.d.). PubMed. Retrieved January 27, 2025, from https://pubmed.ncbi.nlm.nih.gov/28901578/

4.What is IBS? - Irritable bowel syndrome (IBS). (n.d.). NHS. Retrieved January 27, 2025, from https://www.nhs.uk/conditions/irritable-bowel-syndrome-ibs/

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